WCHD Customer Satisfaction Survey 2010 2011

1. We realize in order to provide our customers with the best possible service; we need to consider your needs and opinions. This survey is anonymous and does not ask for any personal information. Please provide honest answers and thank you for taking the time to assist us in improving our customer service.

Tell us about your experience by selecting the area(s) which provided information or service(s) and rating the statements below.

We realize in order to provide our customers with the best possible service; we need to consider your needs and opinions. This survey is anonymous and does not ask for any personal information. Please provide honest answers and thank you for taking the time to assist us in improving our customer service.
Tell us about your experience by selecting the area(s) which provided information or service(s) and rating the statements below.
Medical

Administration

Dental

Healthy Start

School Health

Healthy Families

Immunizations

Tobacco Prevention

WIC

Environmental Health

Health Education

2. I received the information or service(s) I needed.

Strongly Agree

*I received the information or service(s) I needed. Strongly Agree

Strongly Agree

Strongly Agree

Strongly Agree

Agree

Agree

Agree

Agree

Agree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Disagree

Disagree

Disagree

Disagree

Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

3. The information or service(s) was clear and understandable.

Strongly Agree

*The information or service(s) was clear and understandable. Strongly Agree

Strongly Agree

Strongly Agree

Strongly Agree

Agree

Agree

Agree

Agree

Agree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Disagree

Disagree

Disagree

Disagree

Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

4. The staff was polite and friendly.

Strongly Agree

*The staff was polite and friendly. Strongly Agree

Strongly Agree

Strongly Agree

Strongly Agree

Agree

Agree

Agree

Agree

Agree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Disagree

Disagree

Disagree

Disagree

Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

5. The staff was knowledgeable and well-informed.

Strongly Agree

*The staff was knowledgeable and well-informed. Strongly Agree

Strongly Agree

Strongly Agree

Strongly Agree

Agree

Agree

Agree

Agree

Agree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Disagree

Disagree

Disagree

Disagree

Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

6. The staff was helpful.

Strongly Agree

*The staff was helpful. Strongly Agree

Strongly Agree

Strongly Agree

Strongly Agree

Agree

Agree

Agree

Agree

Agree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Disagree

Disagree

Disagree

Disagree

Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

7. I was served in a timely manner.

Strongly Agree

*I was served in a timely manner. Strongly Agree

Strongly Agree

Strongly Agree

Strongly Agree

Agree

Agree

Agree

Agree

Agree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Neither Agree Nor Disagree

Disagree

Disagree

Disagree

Disagree

Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

Strongly Disagree

8. Overall, how would you rate your satisfaction with the information or service(s) you received?

Very Satisfied

*Overall, how would you rate your satisfaction with the information or service(s) you received? Very Satisfied

Very Satisfied

Very Satisfied

Very Satisfied

Satisfied

Satisfied

Satisfied

Satisfied

Satisfied

Neither Satisfied Nor Dissatisfied

Neither Satisfied Nor Dissatisfied

Neither Satisfied Nor Dissatisfied

Neither Satisfied Nor Dissatisfied

Neither Satisfied Nor Dissatisfied

Dissatisfied

Dissatisfied

Dissatisfied

Dissatisfied

Dissatisfied

Very Dissatisfied

Very Dissatisfied

Very Dissatisfied

Very Dissatisfied

Very Dissatisfied

9. Additional Comments

Additional Comments

10. May we contact you? Please leave your contact information if you would like us to respond to your comments. (Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not include it below.)

May we contact you? Please leave your contact information if you would like us to respond to your comments. (Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not include it below.) Name